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Slide 38

Slide 39

West et al. JAMA. 2006 296(6): 1071-8. "Self-perceived medical errors are common among I.M. residents and are associated with substantial personal distress. Personal distress and decreased empathy are associated with increased odds of future errors... reciprocal cycle." Must consider "care for the care giver" and methods to maintain trust between provider and patient/family.

Slide 40

Future possibilities and opportunities

Deal with the drivers of human behavior

Fear

Federal & state legislative changes

NPDB & State licensing

Greed

Personal asset protection if transparent

Ego - soul

Expanded adoption of "just culture"

Screening prior to medical school

Emotional intelligence assessment tools

Values drive behaviors which drive performance

Slide 41

In a time of universal deceit, telling the truth becomes a revolutionary act.